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https://www.readbyqxmd.com/read/27896148/plasma-lyte-148-a-clinical-review
#1
Laurence Weinberg, Neil Collins, Kiara Van Mourik, Chong Tan, Rinaldo Bellomo
AIM: To outline the physiochemical properties and specific clinical uses of Plasma-Lyte 148 as choice of solution for fluid intervention in critical illness, surgery and perioperative medicine. METHODS: We performed an electronic literature search from Medline and PubMed (via Ovid), anesthesia and pharmacology textbooks, and online sources including studies that compared Plasma-Lyte 148 to other crystalloid solutions. The following keywords were used: "surgery", "anaesthesia", "anesthesia", "anesthesiology", "anaesthesiology", "fluids", "fluid therapy", "crystalloid", "saline", "plasma-Lyte", "plasmalyte", "hartmann's", "ringers" "acetate", "gluconate", "malate", "lactate"...
November 4, 2016: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27771223/effects-of-plasma-lyte-a-lactated-ringer-s-and-normal-saline-on-acid-base-status-and-intestine-injury-in-the-initial-treatment-of-hemorrhagic-shock
#2
Ying Wang, Wei Guo, Dawei Gao, Guoxing You, Bo Wang, Gan Chen, Lian Zhao, Jingxiang Zhao, Hong Zhou
BACKGROUND: Several kinds of crystalloid solutions have been used in the treatment of hemorrhagic shock (HS). Clinicians are faced with how to select the resuscitation fluids. The aim of the present study is to compare the effects of 3 crystalloid solutions, such as normal saline (NS), lactated Ringer's (LR), and Plasma-lyte A (PA), on acid-base status and intestine injury in rats subjected to HS. METHODS: Thirty Wistar rats were divided into 4 groups. The sham group had no blood withdrawal...
October 5, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27749094/balanced-crystalloids-versus-saline-in-the-intensive-care-unit-the-salt-randomized-trial
#3
Matthew W Semler, Jonathan P Wanderer, Jesse M Ehrenfeld, Joanna L Stollings, Wesley H Self, Edward D Siew, Li Wang, Daniel W Byrne, Andrew D Shaw, Gordon R Bernard, Todd W Rice
RATIONALE: Saline is the intravenous fluid most commonly administered to critically ill adults, but may be associated with acute kidney injury and death. Whether use of balanced crystalloids rather than saline affects patient outcomes remains unknown. OBJECTIVES: To pilot a cluster-randomized, multiple-crossover trial using software tools within the electronic health record to compare saline to balanced crystalloids. METHODS: Cluster-randomized, multiple-crossover trial among 974 adults admitted to a tertiary medical intensive care unit from February 3, 2015 through May 31, 2015...
October 17, 2016: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27604335/a-multicentre-randomised-controlled-pilot-study-of-fluid-resuscitation-with-saline-or-plasma-lyte-148-in-critically-ill-patients
#4
Brij Verma, Nora Luethi, Luca Cioccari, Patryck Lloyd-Donald, Marco Crisman, Glenn Eastwood, Neil Orford, Craig French, Rinaldo Bellomo, Johan Martensson
BACKGROUND: Normal saline (NS) is the most commonly used crystalloid solution worldwide but contains an excess of chloride and may cause metabolic acidosis and hyperchloraemia. Such abnormalities may be attenuated by the use of a balanced solution such as Plasma-Lyte 148 (PL-148). OBJECTIVE: To assess the feasibility, safety and biochemical and physiological effects of resuscitation with NS versus PL-148 in critically ill patients. DESIGN, SETTING AND PARTICIPANTS: An exploratory, multicentre, doubleblind, randomised controlled trial involving patients aged ≥ 18 years who were prescribed crystalloid fluid resuscitation by the treating clinician between 16 July and 22 October 2015, in three multidisciplinary intensive care units in Melbourne, Victoria, Australia...
September 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27604334/effect-of-saline-0-9-or-plasma-lyte-148-therapy-on-feeding-intolerance-in-patients-receiving-nasogastric-enteral-nutrition
#5
Sumeet Reddy, Michael Bailey, Richard Beasley, Rinaldo Bellomo, Diane Mackle, Alex Psirides, Paul Young
OBJECTIVE: To compare the effect of Plasma-Lyte (PL)-148 and saline 0.9% (saline) on gastrointestinal (GI) feeding intolerance in mechanically ventilated patients receiving nasogastric (NG) feeding in an intensive care unit. DESIGN AND SETTING: A single-centre pilot study, nested within a multicentre, double-blind, cluster-randomised, double-crossover trial, performed in a mixed medical and surgical ICU. PARTICIPANTS: All adult patients who required crystalloid fluid therapy as part of the 0...
September 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27480410/a-randomized-trial-of-plasma-lyte-a-and-0-9%C3%A2-sodium-chloride-in-acute-pediatric-gastroenteritis
#6
Coburn H Allen, Ran D Goldman, Seema Bhatt, Harold K Simon, Marc H Gorelick, Philip R Spandorfer, David M Spiro, Sharon E Mace, David W Johnson, Eric A Higginbotham, Hongyan Du, Brendan J Smyth, Carol R Schermer, Stuart L Goldstein
BACKGROUND: Compare the efficacy and safety of Plasma-Lyte A (PLA) versus 0.9 % sodium chloride (NaCl) intravenous (IV) fluid replacement in children with moderate to severe dehydration secondary to acute gastroenteritis (AGE). METHODS: Prospective, randomized, double-blind study conducted at eight pediatric emergency departments (EDs) in the US and Canada (NCT#01234883). The primary outcome measure was serum bicarbonate level at 4 h. Secondary outcomes included safety and tolerability...
August 2, 2016: BMC Pediatrics
https://www.readbyqxmd.com/read/27216870/traditional-graft-preparation-decreases-physiologic-responses-diminishes-viscoelasticity-and-reduces-cellular-viability-of-the-conduit-a-porcine-saphenous-vein-model
#7
Eric S Wise, Kyle M Hocking, Weifeng Luo, Daniel L Feldman, Jun Song, Padmini Komalavilas, Joyce Cheung-Flynn, Colleen M Brophy
Traditional methods of intraoperative human saphenous vein preparation for use as bypass grafts can be deleterious to the conduit. The purpose of this study was to characterize acute graft preparation injury, and to mitigate this harm via an improved preparation technique. Porcine saphenous veins were surgically harvested (unprepared controls, UnP) and prepared using traditional (TraP) and improved preparations (ImP). The TraP used unregulated radial distension, marking with a surgical skin marker and preservation in heparinized normal saline...
October 2016: Vascular Medicine
https://www.readbyqxmd.com/read/27194403/a-randomized-controlled-trial-of-high-or-low-volume-intravenous-plasma-lyte-%C3%A2-to-prevent-hypotension-during-sedation-for-colonoscopy
#8
Kate Leslie, Megan Allen, Austin Lee, Phillip Clarke
PURPOSE: The purpose of this study was to compare the incidence of hypotension during sedation in adults presenting for elective colonoscopy and randomized to intravenous Plasma-Lyte 148(®) at either 2 mL·kg(-1) (low volume) or 20 mL·kg(-1) (high volume). METHODS: Patients aged ≥ 18 yr presenting for elective colonoscopy, with or without gastroscopy, after oral bowel preparation were randomized to receive the intervention immediately before the start of the procedure...
August 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27145397/an-alternative-to-dextran-for-the-thawing-of-cord-blood-units
#9
Marc Cloutier, Carl Simard, Christine Jobin, Diane Fournier, Sonia Néron
BACKGROUND: Preparation of umbilical cord blood units (CBUs) for infusion requires a step of dilution or washing to reduce the toxicity of the dimethyl sulfoxide present in the freezing solution. However, the worldwide shortage of clinical-grade dextran 40, the most widely used cord blood dilution or washing solution, prompted us to search for an alternative solution. We elected to evaluate the performance of alternative solutions that could be used as potential replacements for the dextran 40-based solution...
July 2016: Transfusion
https://www.readbyqxmd.com/read/27120325/influences-of-limited-resuscitation-with-plasma-or-plasma-protein-solutions-on-hemostasis-and-survival-of-rabbits-with-noncompressible-hemorrhage
#10
Bijan Shams Kheirabadi, Nahir Miranda, Irasema B Terrazas, Amber N Voelker, Rose C Grimm, Michael A Dubick
BACKGROUND: Plasma infusion with or without red blood cells is the current military standard of care for prehospital resuscitation of combat casualties. We examined possible advantages of early and limited resuscitation with fresh plasma compared with a single plasma protein or crystalloid solutions in an uncontrolled hemorrhage model in rabbits. METHODS: Anesthetized spontaneously breathing rabbits (3.3 ± 0.1 kg) were instrumented and subjected to a splenic uncontrolled hemorrhage...
July 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27072971/efficacy-of-different-fluids-preload-on-propofol-injection-pain-a-randomized-controlled-double-blinded-study
#11
Shi-ying Yuan, Tian-yuan Luo, Zhen Liu, Yun Lin
Injection pain of propofol remains a common clinical problem. Previous studies demonstrated that propofol injection pain was alleviated by applying nitroglycerin ointment to the skin of injection site, which inspires us to test whether venous vasodilation induced by fluid preload could alleviate the pain. Different types or volumes of fluid preload were compared. 200 ASA I-II adult patients were randomly assigned to five groups of 40 each. A 20 G cannula was established on the dorsum or wrist of the hand. When fluid preload given with Plasma-Lyte A 100 mL (P100 group), 250 mL (P250 group), 500 mL (P500 group), 0...
April 2016: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/26991611/blood-products-crystalloids-and-rapid-infusion-an-experimental-study
#12
Anupama Gopinath, Chaim Nelson, Anupriya Gupta, Iwona Bonney, Roman Schumann
BACKGROUND: Electromagnetic coil overheating, deformation, occlusion, and rupture during rapid infuser use have been previously reported. Although the etiology is unclear, prolonged machine use and reconstitution of citrated blood components with crystalloid solutions in the reservoir have been implicated. Lactated Ringer's (LR) solution is of particular concern as a diluent because of its calcium content. We sought to reproduce this failure mode using different infusion rates and different combinations of fluids for blood product reconstitution in the reservoir...
April 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26774199/hydroxyethyl-starch-130-0-4-and-the-risk-of-acute-kidney-injury-after-cardiopulmonary-bypass-a-single-center-retrospective-study
#13
Marc-Gilbert Lagny, Laurence Roediger, Jean-Noel Koch, Fanny Dubois, Marc Senard, Anne-Françoise Donneau, Marie Bernard Hubert, Gregory A Hans
OBJECTIVES: To investigate whether using hydroxyethyl starch (HES) 130/0.4 as a pump prime and for intraoperative fluid therapy is associated with postoperative acute kidney injury (AKI) after adult cardiac surgery. DESIGN: Retrospective observational study. SETTING: University hospital, single center. PARTICIPANTS: Six hundred six adult patients who underwent on-pump cardiac surgery between April 2013 and June 2014 were included...
August 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/26673588/intravenous-fluid-bolus-therapy-a-bi-national-survey-of-critical-care-nurses-self-reported-practice
#14
G M Eastwood, R Parke, L Peck, H Young, E Paton, L Zhang, G Zhu, A Tanaka, N J Glassford, R Bellomo
Knowledge of critical care nurses' intravenous fluid bolus therapy (FBT) practice remains underexplored. Using a multi-choice online survey conducted between September and October 2014, we sought to describe the self-reported practice of critical care nurses located in Australia and New Zealand. Two hundred and ninety-five critical care nurses responded to the survey with most practising in adult ICUs. Overall, 0.9% saline solution was the preferred solution for FBT. However, more Australian than New Zealand respondents preferred 'albumin 4%' (31% versus 3...
January 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/26640062/sodium-reduction-during-cardiopulmonary-bypass-plasma-lyte-148-versus-trial-fluid-as-pump-primes
#15
COMPARATIVE STUDY
Thomas J Morgan, Jeffrey J Presneill, Paul G Davies, Gerald Power, Balasubramanian Venkatesh
OBJECTIVES: We compared effects on plasma sodium concentrations plus calculated plasma tonicity of two "balanced" crystalloid solutions used as 2 L pump primes during cardiopulmonary bypass (CPB): Plasma-Lyte 148 (sodium concentration, 140 mmol/L; potassium concentration, 5 mmol/L) versus a bicarbonate-balanced fluid (sodium concentration, 140 mmol/L; potassium concentration, 0 mmol/L). DESIGN, SETTING AND PARTICIPANTS: We analysed pooled data from two prospective interventional studies performed in university-affiliated hospitals, from 50 patients undergoing elective cardiac surgery...
December 2015: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/26608493/-is-physiological-saline-really-physiological-hyponatreamia-treatment-small-deviations-from-the-rules-of-appropriate-therapy-create-serious-complications-and-side-effects
#16
REVIEW
Marcin Krotkiewski
Physiological saline can hardly be treated as physiological as it contains qualitatively and quantitatively different amounts of electrolytes. In particular, it contains 50% more chlorine ions than serum. Physiological saline can cause metabolic acidosis and in diabetic patients hyperchloremic acidosis. In comparison with Ringer solution and plasma-lyte, physiological saline is causing higher number of untoward effects and mortality associated with surgery. Ringer solution should be used in the situations requiring expansion of extracellular fluid...
October 2015: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/26588483/intravenous-balanced-solutions-from-physiology-to-clinical-evidence
#17
REVIEW
Thomas Langer, Alessandro Santini, Eleonora Scotti, Niels Van Regenmortel, Manu L N G Malbrain, Pietro Caironi
"Balanced" solutions are commonly defined as intravenous fluids having an electrolyte composition close to that of plasma. As such, they should minimally affect acid-base equilibrium, as compared to the commonly reported 0.9% NaCl-related hyperchloremic metabolic acidosis. Recently, the term "balanced" solution has been also employed to indicate intravenous fluids with low chloride content, being the concentration of this electrolyte the most altered and supra-physiologic in 0.9% NaCl as compared to plasma, and based upon a suggested detrimental effect on renal function associated with hyperchloremia...
2015: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/26569808/147-post-arrest-fluids-improve-survival-with-better-metabolic-profile-using-plasma-lyte-a-over-0-9-nacl
#18
Lorissa Lamoureux, Alvin Baetiong, Jeejabai Radhakrishnan, Raul Gazmuri
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/26003912/preservation-solution-impacts-physiologic-function-and-cellular-viability-of-human-saphenous-vein-graft
#19
COMPARATIVE STUDY
Eric S Wise, Kyle M Hocking, Susan Eagle, Tarek Absi, Padmini Komalavilas, Joyce Cheung-Flynn, Colleen M Brophy
INTRODUCTION: Recent clinical data suggest intraoperative preservation of human saphenous vein (HSV) in normal saline is associated with vein graft failure. We evaluated the influence of several preservation media on acute physiologic function and cellular viability of HSV conduit. METHODS: Unprepared (UP) HSV obtained from coronary artery bypass graft patients was characterized on a muscle bath after 2-hour storage in 6 solutions: Plasma-Lyte A, 0.9% NaCl (normal saline), University of Wisconsin solution, Celsior solution, autologous whole blood, or glutathione-ascorbic acid L-arginine (GALA) solution...
August 2015: Surgery
https://www.readbyqxmd.com/read/25971284/plasma-lyte-or-hartmann-s-for-major-liver-resection-which-is-the-best-solution
#20
LETTER
Laurence Weinberg, Brett Pearce, Rinaldo Bellomo
No abstract text is available yet for this article.
January 2016: Minerva Anestesiologica
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